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    <title>乳腺彩色超声检查</title>
    <style>
        * {
            padding: 0;
            margin: 0;
        }

        html {
            height: 100%;
        }

        body {
            font-family: "Helvetica Neue", Helvetica, Arial, sans-serif;
            font-size: 14px;
            line-height: 1.42857143;
            color: #333;
            background: #fff;
        }

        .field-row {
            margin: 4px;
        }

        .field-row>.field-item {
            display: inline-block;
            white-space: nowrap;
            margin-left: 10px;
        }

        .field-row>.field-item select {
            display: inline-block;
            white-space: nowrap;
            margin: 0;
            padding: 0;
            border-width: 1px;
            border-style: solid;
            overflow: hidden;
            vertical-align: middle;
            border-color: #AED0EA;
            background-color: #ffffff;
            min-width: 180px;
        }


        .field-row>.field-item>div.value {
            display: inline-block;
        }

        .field-row>.field-item>div.value>input {
            display: inline-block;
            width: 80px;
        }

        input {
            border-top: 0;
            border-left: 0;
            border-right: 0;
            border-bottom: 1px black solid;
            outline: none;
            height: 20px;
            line-height: 20px;
        }

        .head {
            padding-left: 10px;
            height: 28px;
            line-height: 28px;
            background: rgb(23, 134, 184);
            font-size: 10.5pt;
            color: #FFF;
        }

        .box-wrapper {
            width: 1000px;
            margin: 0 auto;
            overflow-x: hidden;
        }

        span.require {
            color: #f00;
        }

        .box {
            border: 1px solid #000;
        }

        input[type="checkbox"],
        input[type="radio"] {
            height: 20px;
            line-height: 20px;
            display: inline-block;
            margin: 6px 2px;
            vertical-align: bottom;
        }

        #otherDiseaseHistory {
            display: inline-block;
            width: 130px;
        }

        .coupon-box {
            height: 120px;
            text-align: center;
            line-height: 120px;
            border: 1px dashed #2e85b8;
            font-size: 24px;
            color: #cecece;
            margin: 30px 0 10px 0;
            cursor: pointer;
            background: #fff;
        }

        .coupon-item {
            width: 80%;
            box-shadow: 2px 2px 5px #f2f2f2, -2px -2px 5px #f2f2f2;
            border-bottom: 1px solid #eee;
            display: flex;
            margin: 10px auto;
            flex-direction: row;
        }

        .coupon-item .btn {
            display: block;
            margin: 10px;
            width: 60px;
            padding: 0;
            height: 28px;
            line-height: 28px;
            text-align: center;
            background: #45b4f5;
            color: #fff;
            /* outline: none; */
            border-color: transparent;
        }

        .coupon-item .content-wrapper {
            flex: 1;
            padding: 10px;
            line-height: 24px;
        }

        .coupon-item .content-wrapper .name {
            font-size: 14px;
            font-weight: 400;
            color: rgba(0, 0, 0, 0.85);
        }

        .coupon-item .content-wrapper .desc {
            font-size: 12px;
            margin-top: 4px;
            color: rgba(0, 0, 0, 0.55);
        }

        .search-box input {
            display: inline-block;
            flex: 1;
            height: 33px;
            line-height: 33px;
            padding-left: 6px;
            /* border-color: transparent; */
            outline: none;
            box-shadow: none;
            /* border: 0; */
            border: 1px solid #7bcdf8;
        }

        .search-box button {
            width: 80px;
            background: #7bcdf8;
            outline: none;
            border: 1px solid #7bcdf8;
            color: #fff;
        }

        .empty-coupon {
            text-align: center;
            line-height: 42px;
            height: 42px;
            font-size: 18px;
            color: rgba(0, 0, 0, 0.45);
        }

        .no-coupon {
            height: 33px;
            line-height: 33px;
            text-align: center;
            margin: 10px 0;
            border: 1px dashed #7bcdf8;
            cursor: pointer;
        }
    </style>
</head>

<body>
<div class="box-wrapper" style="margin-top: 100px;">
    <h2 style="text-align: center">超声评估BI-RADS分级建议</h2>
    <div class="box">
        <div class="head">左乳</div>
        <div class="field-row">
            <div class="field-item">
                <label for="personalHistory">囊肿：</label>
                <input type="radio" name="rule" value="1">无
                <input type="radio" name="rule" value="0">有：
                <input type="checkbox" name="personalHistory" value="其他">单纯囊肿
                <input type="checkbox" name="personalHistory" value="其他">复杂囊肿
            </div>
            <div class="field-item">
                <label for="personalHistory">实性肿块：</label>
                <input type="radio" name="rule" value="1">无
                <input type="radio" name="rule" value="0">有：
                <input type="checkbox" name="personalHistory" value="其他">单发
                <input type="checkbox" name="personalHistory" value="其他">多发
            </div>
            <div class="field-item">
                <label for="personalHistory">部位：</label>
                象限法（可触及者）：<input type="text" id="otherDiseaseHistory">
                时钟法（不可触及者）：<input type="text" id="otherDiseaseHistory">
            </div>
            <div class="field-item">
                <label for="personalHistory">大小：</label>
                <input type="text" id="doctorName">mm ×
                <input type="text" id="doctorName">mm
            </div>
            <div class="field-item">
                <label for="personalHistory">形态：</label>
                <input type="checkbox" name="personalHistory" value="其他">椭圆形
                <input type="checkbox" name="personalHistory" value="其他">圆形
                <input type="checkbox" name="personalHistory" value="其他">不规则
                <input type="checkbox" name="personalHistory" value="其他">分叶状
            </div>
            <div class="field-item">
                <label for="personalHistory">方向：</label>
                <input type="checkbox" name="personalHistory" value="其他">纵横比≥1
                <input type="checkbox" name="personalHistory" value="其他">纵横比<1
            </div>
            <div class="field-item">
                <label for="personalHistory">边界：</label>
                <input type="checkbox" name="personalHistory" value="其他">锐利
                <input type="checkbox" name="personalHistory" value="其他">回声晕环
            </div>
            <div class="field-item">
                <label for="personalHistory">边缘：</label>
                <input type="checkbox" name="personalHistory" value="其他">清晰
                <input type="checkbox" name="personalHistory" value="其他">不清晰
            </div>
            <div class="field-item">
                <label for="personalHistory">内部回声：</label>
                <input type="checkbox" name="personalHistory" value="其他">低
                <input type="checkbox" name="personalHistory" value="其他">等
                <input type="checkbox" name="personalHistory" value="其他">高
                <input type="checkbox" name="personalHistory" value="其他">均匀
                <input type="checkbox" name="personalHistory" value="其他">不均匀
            </div>
            <div class="field-item">
                <label for="personalHistory">后方回声：</label>
                <input type="checkbox" name="personalHistory" value="其他">无变化
                <input type="checkbox" name="personalHistory" value="其他">衰减
                <input type="checkbox" name="personalHistory" value="其他">增强
                <input type="checkbox" name="personalHistory" value="其他">侧方声影
            </div>
            <div class="field-item">
                <label for="personalHistory">钙化灶：</label>
                <input type="checkbox" name="personalHistory" value="其他">无
                <input type="checkbox" name="personalHistory" value="其他">粗大
                <input type="checkbox" name="personalHistory" value="其他">细小
            </div>
            <div class="field-item">
                <label for="personalHistory">血流：</label>
                <input type="checkbox" name="personalHistory" value="其他">无
                <input type="checkbox" name="personalHistory" value="其他">少许
                <input type="checkbox" name="personalHistory" value="其他">丰富
            </div>
            <div class="field-item">
                <label for="personalHistory">其他（详细描述）:</label>
                <input type="text" id="doctorName">
            </div>
            <div class="field-item">
                <label for="personalHistory">分级：</label>
                <input type="checkbox" name="personalHistory" value="其他">0级　
                <input type="checkbox" name="personalHistory" value="其他">1级　
                <input type="checkbox" name="personalHistory" value="其他">2级　
                <input type="checkbox" name="personalHistory" value="其他">3级　
                <input type="checkbox" name="personalHistory" value="其他">4级　
                <input type="checkbox" name="personalHistory" value="其他">5级　
            </div>
        </div>
    </div>
    <div class="box">
        <div class="head">右乳</div>
        <div class="field-row">
            <div class="field-item">
                <label for="personalHistory">囊肿：</label>
                <input type="radio" name="rule" value="1">无
                <input type="radio" name="rule" value="0">有：
                <input type="checkbox" name="personalHistory" value="其他">单纯囊肿
                <input type="checkbox" name="personalHistory" value="其他">复杂囊肿
            </div>
            <div class="field-item">
                <label for="personalHistory">实性肿块：</label>
                <input type="radio" name="rule" value="1">无
                <input type="radio" name="rule" value="0">有：
                <input type="checkbox" name="personalHistory" value="其他">单发
                <input type="checkbox" name="personalHistory" value="其他">多发
            </div>
            <div class="field-item">
                <label for="personalHistory">部位：</label>
                象限法（可触及者）：<input type="text" id="otherDiseaseHistory">
                时钟法（不可触及者）：<input type="text" id="otherDiseaseHistory">
            </div>
            <div class="field-item">
                <label for="personalHistory">大小：</label>
                <input type="text" id="doctorName">mm ×
                <input type="text" id="doctorName">mm
            </div>
            <div class="field-item">
                <label for="personalHistory">形态：</label>
                <input type="checkbox" name="personalHistory" value="其他">椭圆形
                <input type="checkbox" name="personalHistory" value="其他">圆形
                <input type="checkbox" name="personalHistory" value="其他">不规则
                <input type="checkbox" name="personalHistory" value="其他">分叶状
            </div>
            <div class="field-item">
                <label for="personalHistory">方向：</label>
                <input type="checkbox" name="personalHistory" value="其他">纵横比≥1
                <input type="checkbox" name="personalHistory" value="其他">纵横比<1
            </div>
            <div class="field-item">
                <label for="personalHistory">边界：</label>
                <input type="checkbox" name="personalHistory" value="其他">锐利
                <input type="checkbox" name="personalHistory" value="其他">回声晕环
            </div>
            <div class="field-item">
                <label for="personalHistory">边缘：</label>
                <input type="checkbox" name="personalHistory" value="其他">清晰
                <input type="checkbox" name="personalHistory" value="其他">不清晰
            </div>
            <div class="field-item">
                <label for="personalHistory">内部回声：</label>
                <input type="checkbox" name="personalHistory" value="其他">低
                <input type="checkbox" name="personalHistory" value="其他">等
                <input type="checkbox" name="personalHistory" value="其他">高
                <input type="checkbox" name="personalHistory" value="其他">均匀
                <input type="checkbox" name="personalHistory" value="其他">不均匀
            </div>
            <div class="field-item">
                <label for="personalHistory">后方回声：</label>
                <input type="checkbox" name="personalHistory" value="其他">无变化
                <input type="checkbox" name="personalHistory" value="其他">衰减
                <input type="checkbox" name="personalHistory" value="其他">增强
                <input type="checkbox" name="personalHistory" value="其他">侧方声影
            </div>
            <div class="field-item">
                <label for="personalHistory">钙化灶：</label>
                <input type="checkbox" name="personalHistory" value="其他">无
                <input type="checkbox" name="personalHistory" value="其他">粗大
                <input type="checkbox" name="personalHistory" value="其他">细小
            </div>
            <div class="field-item">
                <label for="personalHistory">血流：</label>
                <input type="checkbox" name="personalHistory" value="其他">无
                <input type="checkbox" name="personalHistory" value="其他">少许
                <input type="checkbox" name="personalHistory" value="其他">丰富
            </div>
            <div class="field-item">
                <label for="personalHistory">其他（详细描述）:</label>
                <input type="text" id="doctorName">
            </div>
            <div class="field-item">
                <label for="personalHistory">分级：</label>
                <input type="checkbox" name="personalHistory" value="其他">0级　
                <input type="checkbox" name="personalHistory" value="其他">1级　
                <input type="checkbox" name="personalHistory" value="其他">2级　
                <input type="checkbox" name="personalHistory" value="其他">3级　
                <input type="checkbox" name="personalHistory" value="其他">4级　
                <input type="checkbox" name="personalHistory" value="其他">5级　
            </div>
        </div>
    </div>
    <div class="box">
        <div class="head">建议</div>
        <div class="field-row">
            <div class="field-item">
                <label for="personalHistory">　</label>
                <input type="checkbox" name="personalHistory" value="其他">定期检查　
                <input type="checkbox" name="personalHistory" value="其他">乳腺X线检查　
                <input type="checkbox" name="personalHistory" value="其他">活检　
            </div>
        </div>
        <div class="field-row">
            <div class="field-item">
                <label for="doctorName">检查机构：</label>
                <input type="text" id="doctorName">
            </div>
            <div class="field-item">
                <label for="doctorName">检查人员：</label>
                <input type="text" id="doctorName">
            </div>
            <div class="field-item">
                <label for="bloodDate">检查日期：</label>
                <input type="date" id="bloodDate">
            </div>
        </div>
    </div>
    <div style="width:220px; margin: 30px auto;">
        <button onclick="save();" style="width: 120px; height: 33px; border-radius: 2px; border-radius: 4px; background: rgb(23,134,184); color: #fff; outline: none; border-color: transparent;">保存</button>
    </div>
</div>
</body>

</html>